Abstract
A case of epulis fibro-osteoplastica. Although epulis is a phyma of relatively high incidence in the oral mucosa, less reports an epulis with bone formation in fibrous tissues have been so far available. We recently experienced a case of epulis fibro-osteoplatica and the clinical couse is described in this paper. A 45 year old female noticed a swelling of the palate of the maxillary incisors around April, 1981. Under the diagnosis of palatal tumor, an incision was given, resulted in a temporal reduction in the tumor size. However, the tumor gradually increased in size on and after October and the patient was then referred to our department.
The phyma was perdiculated having the base in the palate at 3|2 portion and the elastic hard, smooth surface without tenderness. The surrounding mucosa was normal. The tumor including its surrounding mucosa was removed and alveolar rearrangement was performed followed by a tentative suture and closure. The size of tumor thus extirpated was 25×15×12 mm, and the cut surface was grayish white, solid and elastic hard with many hard tissues.
Pathologically, irregularly shaped bone formation was noted among many proliferated fibrous tissues suggestive epulis fibro-osteoplastica. The prognosis is evenful without any tendency of relapse as of 2 years lapsed after operation.
